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12341 SW MORNING HILL DR
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CITY"OF TIGARD BUILDING INSPECTION DIVISION
24-Hour brpoction Line:6394175 Business Phare:6394171
Date Requested: 5 _5 A. . -- P.M. MST:
Location:__ 2-
/ 3 L / _AW n/}u yi a _ BUP:
Temant� _ Suite: —Bldg:
/& Bld�Lg: �L�_ MEC:
Contractor:` ( Q — Phone: _a 1_!� PLM:
Owner:_ — e` u Phone: —— FIC'-
- _ ELR:
BUILDING BLDG(con't) PLUMBING317':NECRANICAL RLICTRICAL SITE
Site Post/Beam Post/Bewn Post/Beam CoverJScrvice Sewer/Stem
Footing Roof UndFUSlab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In T TO Sprinkler
Foundation Insulation Sewer lloodfDuct Reconnect Vault
Bsmt ramp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C IJG Slab
Shea:/Sheath Fire Spklr/Alm Crawl/Found IN Neat Pump Low Volt
Approved Approved Approved Approved
Appr/Sdwlk Net At#proved . Not Appmved Not Approved Not Approved Not Approved
FINAL FINAL FINAL, FINAL FINAL
CO) AT) tpn
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0 Call for rein n Cl Reinspection fee of S t next inspection Ell Unable to inspect
Inspector. Date: _ -- Page of
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT ,SERVICES PERMIT tl. . . . . . . s VLM98-0119
13125 SW Hall Blvd.,Tigard,OR 97223 (503)63x1171 DATE ISSUED: 05/01/98
PARCELS 2S104AB-11400
SITE ADDRESS. . . : 12341 SW MORNING HILL DR
SUBDIVISION. . . . : MORNING HILL NO. 6 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 143 JURISDICTIONS TIG
CLASS OF WORK. . sALT GARBAGE: DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . s 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES----•---•------ LAUNDRY TRAYS. . . . . : 0 6F RAIN DRAINS. . . . . s 0
SINKS. . . . . . . . : 0 URINALS. . . . . . . e 0 GREASE 'TRAPS. . . . . . . : 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : N SEWER LINE (ft) . . . s 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . , 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft) , . . s 0
Remarks: Friesz
Owner: ------------------•-------------------------------- FEES ---------------
JUDY FRIESZ type amount by date recpt
12341 SW MORNINGHILL PRMT f 15. 00 JSD 05/01/98 98-305420
TIGARD OR 97223-0000 5PCT f 0. 75 JSD 05/01/98 98-305420
Phone !1:
Contractor-------------------------------
MODERN PLUMBING
11120 SW INDUSTRIAL WAY
TUALATIN OR 97062 -------------------------------------•-
Phone it: 691-6166 $ 15. 75 TOTAL
Reg #. . : 000879
------- REOUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the RP/Backflow Prev _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work Mill be done in accordance with
approved plans. This permit will expire if Mark in r:'c started _! _
d. within 188 days of issuance, or if work is suspended for sore
than 180 days. ATTENTION: Oregon last requires you to follow rules
N adopted by the Oregon Utility Notification Center. Those rules are _
set forth in OAR %2-Wl-018 through OAR 452-M-*K you may _
obtain copies of these rules or direct questions to (AK by calling
-� (583)246-1987.
Issued By: Permittee Signaturer�,�
+++++++*+++ ++++++ + ++++++++++♦4+t+♦+++++++♦+++#-F♦♦♦+++ +++++++++++,�++++++r
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
++•f++i+++++i++++++++++++++++++++++i•++++++++++++++++++++++++.4 .++++++++++++++++
I
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CITY OF TIGARD Plumbing Application Read By
13125 SW HALL BLVD. Commercial and Residential net*Rvc'd 1
TIGARD, OR 97213 Date to P E.
t (503) 639-417 Date to DST
Permit a
Print or Type Related SWR s�
C
1� Incomplete or illegible applications will not be accepted ca"d____ �G
L 1
Name of OevetopmenVProfect FIXTURES (Individual) f]TY PRICE AMT
Jobt u' Sink 9.00
Address Street Address Suits Lavatory9.00
U3 4 5 Tub or ruashower Comb9
.
Bldg a Cllyi atei Zip Shower Only 9.00
Maroc - Water Closet I
9.00
4 dr r J t 5 .2. Oishwasnw 9.00
Owner Me"Adds sSwte achine Garbage Ofeposal - 9.00
9 Moe,),. ) Was"M �' 9.00
Zlp Floor Drax! 2' 9.00
2•L
Pssrrr 3' 9.00
_ 4- 9.00
Occupant lisill"m Add&ss Suite Water Hester
9.00
Laundry loom Tory 900
Cityr$tale Zlp Phone llrtnr
9.00
Name OIMr Pirttres(Spedly) 9.00
Contrfllctor Mailing�Address 1J ,f Suits --
9.00
9.00
9.00
C-'fStale Zip Phone
4!901 �a .1}, CA). 9 9.00
Ofrgw Const.Com.Boom I.lc.! Exp.Oa 9.00
Atladi ram of Q ) - 9.00
lice! tt Parr
q"115-0
�t Sewer-tst 100' 30.00
Lreerteee 7`"15-0 Sewer-e tc�addidonal 100' 23.00
COT Buss Tax or Foletib s Exp.Palo
149 Water Servioc-tst too' 30.00
IName Water Servicn-e949t additional 200' 23.00
Architect Storm 6 Rain Drain- Ist too 30.00
or Marling Address SI-ts Storm&Ran Drain-each aedioonal t00' 23.00
Mobile Home Spam -- 25.00
Engineer GtyrState Zip Phone Commerce!Back Flow Prevention Device or Antl- 25.00
Polhrtion Cewm _
Describe www Nkh Addition O Meravon O ReciterO Residential Backflow Prevention Device• 1 t-00 ♦a
to to done: Ilesesidential O Any Trap or Waste Not Connected to a Fixture 9.00
Additional destxmuon of work
G. Catch Bam 9.00
lesp.of Ensurrg Plumbing 40
.00
wlhr
N sio"use of Specialty Requested Inspections 40.Ou
otalertg or property _---- oenhr
Rain Crain.single family ttwei0ng 30.00
m , Proposed use of Grease Traps
budding or property 9.00
OUANTI Y TOTAL
rAre yon capping. moving or replacing any Rxturcs? Yes 0 No A' Isometrk Or twr dip rare it reoulra0 if QuaMy Total r s 9
(H yes see back of form) ___ "SUBTOTAL
I hereby acknowledge that I have read this application.that the information
given.s correct.treat I am the owner or authoriz►d agent of the owner.and 5%SURCHARGE
7nat plans submitted are in comollance with Or State laws. t
Signature of Owne rAgent Date PLAN REVIEW 25%OF SUBTOTAL
aNufr W cxNy if thNr ofy-Mtal ii►9
_ UA IJJt TOTAL
:ontact Pe on N me Phone
'Minimum permitfee is S25•S%turClarge,crept Resodentlal L91
M a r U r u c.Civ s k IC - Prevention Dev�ta�,wi*Z is$t y*5%surcharge
Odststpimapp.doc WN
PLEASE COMPLETE: AS APPROPRIATE-TO PRoj CT:
Fixtures to be capped, moved or replaced Q
Sink
Lavatory
Tub or i jbiShower Combinatioo
Shower 06'y
Water Closet
Dishwasher _
Garbage Disposal
Washing Machine
Floor nrain 2"
3" .�
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
'OMMENTS REGARDING ABOVE:
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